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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAIR PEDIATRIC DENTISTRY PC

Active Organization

BLAIR PEDIATRIC DENTISTRY PC is a Pediatric Dentistry organization located in BOISE, Idaho. NPI 1629483987 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · BOISE, ID

Registration Details

NPI Number
1629483987
Provider Type
Organization
NPI Issued
Jun 25, 2014 (12.123620466145 yrs)
Last Updated
Jun 25, 2014
License
D4550PD (ID)

Practice Information

Address
5360 N EAGLE RD
SUITE 103
BOISE, ID, 837134901
Browse ID providers · Browse ZIP 83713
Phone
2089389958
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.